Lemtiri J, Matusik E, Cousein E, Lambiotte F, Elbeki N
Intensive care unit, Valenciennes general hospital, 114, avenue Desandrouin, 59300 Valenciennes, France.
Intensive care research and department of pharmacy, Valenciennes general hospital, 114, avenue Desandrouin, 59300 Valenciennes, France.
Ann Pharm Fr. 2020 Nov;78(6):464-468. doi: 10.1016/j.pharma.2020.09.001. Epub 2020 Oct 7.
On January 4 2020, the World Health Organization (WHO) reported the emergence of a cluster of pneumonia cases in Wuhan, China due to a new coronavirus, the SARS-CoV-2. A few weeks later, hospitals had to put in place a series of drastic measures to deal with the massive influx of suspected COVID-19 (COronaroVIrus Disease) patients while securing regular patient care, in particular in the intensive care units (ICU). Since March 12th, 77 of the 685 COVID-19 patients admitted to our hospital required hospitalization in the ICU. What are the roles and the added-value of the critical care pharmacist during this period? His missions have evolved although they have remained focused on providing health services for the patients. Indeed, integrated into a steering committee created to organize the crisis in the intensive care units, the role of the clinical pharmacist was focused on the organization and coordination between ICU and the pharmacy, the implementation of actions to secure practices, to train new professionals and the adaptation of therapeutic strategies. He participated to literature monitoring and increased his involvement in the clinical research team. He provided a link between the ICU and the pharmacy thanks to his knowledges of practices and needs.
2020年1月4日,世界卫生组织(WHO)报告称,中国武汉出现了由新型冠状病毒SARS-CoV-2引发的一组肺炎病例。几周后,医院不得不采取一系列严厉措施,以应对大量疑似新型冠状病毒肺炎(COVID-19,冠状病毒病)患者的涌入,同时确保常规患者护理,尤其是在重症监护病房(ICU)。自3月12日以来,我院收治的685例COVID-19患者中有77例需要入住ICU。在此期间,重症监护药师的作用和附加值是什么?尽管他的任务一直集中在为患者提供医疗服务,但任务内容已经有所演变。实际上,临床药师加入了为组织重症监护病房危机而设立的指导委员会,其职责重点在于ICU与药房之间的组织和协调、确保医疗行为安全的行动实施、培训新专业人员以及调整治疗策略。他参与文献监测,并更多地参与临床研究团队。由于他对医疗行为和需求的了解,他在ICU和药房之间建立了联系。